Nursing needs its leaders to respond to FrancisThe diagnosis and management of adult neurogenic dysphagia.
The process is commonly divided into three phases: oral, pharyngolaryngeal and oesophageal, which represent the anatomical structures involved in swallowing. The process requires a sophisticated means of voluntary and reflex central control for coordinated execution (Miller, 1982) (Box 1). Disruption of swallowing can have serious effects, with complications such as malnutrition, pulmonary aspiration and the associated psychosocial stigma of being unable to eat.
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